Children's Developmental Program

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

CHILDREN'S DEVELOPMENTAL PROGRAM

Practice address

995 Doylestown Pike
Quakertown, PA 18951-2816

Phone

(215) 536-7800

Fax

(610) 536-9699

NPI assigned

Jan 10, 2008

Last updated

Feb 23, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Betsy L Nilsen

Title

Executive Director

Phone

(215) 536-7800

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Lynne Domeracki

  • Case Manager/Care Coordinator
  • Quakertown, PA
  • NPI 1356781678
  NPD (past)
• Evangeline Wildonger

  • Speech-Language Pathologist
  • Quakertown, PA
  • NPI 1952657470
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1199923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487808000000",
    "number": "1528244498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 DOYLESTOWN PIKE",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189512816",
            "telephone_number": "215-536-7800",
            "fax_number": "610-536-9699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 DOYLESTOWN PIKE",
            "city": "QUAKERTOWN",
            "state": "PA",
            "postal_code": "189512816",
            "telephone_number": "215-536-7800",
            "fax_number": "610-536-9699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S DEVELOPMENTAL PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-10",
        "last_updated": "2017-02-23",
        "status": "A",
        "authorized_official_last_name": "NILSEN",
        "authorized_official_first_name": "BETSY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "215-536-7800"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eduardo A. Cevallos, M.D.
• Charles E.M. Campbell, MD
• Melissa A Chiarelli, D.O.
• Child's Work Counseling Service Inc.
• Children and Adults Home Health Care LLC
• Michele Monet Childs, LMT
• Grace E Cho
• Amber Lynn Cichon, CRNP
• Chelsea Lee Cimino, LPC
• Theresa Cleary, CRNP

• Early Intervention Provider Agency in Quakertown, PA
• Providers in Quakertown, PA by specialty
• Early Intervention Provider Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.